H7N9, China: Cumulative number of today confirmed and suspected cases (April 17 2013): 5 cases / 1? death (Total cases = 83 / total deaths = 16/17?)

[Ronan Kelly]

yesterday's thread - here

Is this our case # 21 http://www.flutrackers.com/forum/sho...d.php?t=202713

Bozhou case of human infection of H7N9 avian influenza cases transferred to the general ward

Published :2013-04-17 Source: Read 65 times


Province Bozhou City, a case of human infection of H7N9 avian influenza after active treatment, her condition improved, and has been transferred to the general ward from the ICU (intensive care unit) to continue treatment.

Lee patients admitted to hospital on April 1, 2013 due to cough, sputum with fever for six days ". April 6, the provincial CDC laboratory test results for the H7N9 avian influenza virus nucleic acid positive; April 7, China CDC laboratory results of the review of the H7N9 avian influenza virus nucleic acid positive. Diagnosis by the provincial expert group, the patients with confirmed cases of human infection of H7N9 avian influenza. Provincial Health Department sent the provincial expert team to guide clinical treatment and epidemic control in Bozhou.

After admission, the hospital set up a specialized health care team, under the guidance of the Expert Group of the Province, including anti-virus, anti-infection, fever, oxygen, improve immunity, nutritional support, psychological intervention aggressive treatment means treatment, The patient's condition gradually improved. April 12, the body temperature returned to normal; April 9, 11 two swabs virus nucleic acid detection, the results were negative.

At present, the hospital is close observation of the patient's condition changes, the Provincial Health Department under the guidance of experts, patients continue to rehabilitation.


(Provincial Health Department Information Office)

http://www.ahwst.gov.cn/chn200909261718343/article.jsp?articleId=85501212

[Shiloh]

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 17 2013):0 cases / 0 deaths (Total 78 / 16)

Source: http://wsj.sh.gov.cn/website/b/105212.shtml
(Shanghai)

Google translation:
City new cases of human infection of H7N9 avian influenza confirmed cases
As of 17:00, the city's new case of human infection of H7N9 avian influenza confirmed cases. Up to now, a total of 31 cases of human infection with the H7N9 avian influenza confirmed cases, of which 11 died, 16 cases being treated in isolation, four patients have been discharged.
New cases as follows:

Patients Chen, male, 89 years old, Jiangsu. Patients April 12, fever, chills and other symptoms, to Pudong New District People's Hospital for treatment, April 16 due to the exacerbation of symptoms, again went to the hospital for treatment and was diagnosed with pneumonia and admitted to hospital. The evening of April 16, the City Center for Disease Control test results for the H7N9 avian influenza virus nucleic acid positive. In accordance with the relevant requirements, the Municipal Health and Family Planning Commission organized municipal clinical expert group to discuss the cases, the diagnosis of the cases of human infection of H7N9 avian influenza confirmed cases. Patients are medically stable, in being active treatment. After investigation, the cases of close contact with a total of nine people have been implemented under medical observation, as of now were not unusual.

[Ronan Kelly]

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 17 2013):0 cases / 0 deaths (Total 78 / 16)

This is probably the child from yesterday's Shanghai report;

Hunan briefing a case of human infection of H7N9 retrospective case
April 17, 2013 13:13:04
Source: China News

　　BEIJING, Changsha, April 17 (Reporter Liu column) Hunan Provincial Health Department on the morning of the 17th informed the province a case of human infection of H7N9 retrospective case, the patient has been restored to health, and close contacts of patients does not appear abnormal.

　　According to reports, patients Meng Moumou is 2-year-old child, domicile Department of Lu'an City, Anhui Province Shou County, now living in Putuo District, Shanghai.

　　Hunan Provincial Health Department Director of Disease Control Department, said Chen Yan, March 16 children with parents logistics trucks from Shanghai, arrived in Changsha on the morning of the 17th, the afternoon of children with fever, Suizhi a clinic, the condition does not get better at 1:00 on the 18th and 9:00 2 to Changsha Central Hospital treatment (national influenza surveillance sentinel hospital), date of patients with the highest temperature of 40.2 ? C, the hospitals on the basis of national influenza surveillance program requirements (38.5 ℃ fever patients for routine sampling) to detect children with throat swab specimens collected to send Changsha Municipal Center for Disease Control . The improvement of the treatment of children with the disease, 19 with his parents drove back to Shanghai to continue treatment in a hospital in Shanghai, 22 returned to normal.

　　The date of notification also revealed in detail the relevant test case:

　　April 7, Changsha Municipal Center for Disease Control for testing the specimens, isolated culture of an influenza A virus, the exclusion of influenza A H1N1 influenza, seasonal influenza H1, H3 subtype of influenza, human infection pathogenic H5N1 avian influenza immediately after the national influenza surveillance program requirements, the culture was sent to the Centers for Disease Control and Prevention in Hunan Province.

　　April 7th, Hunan Province Center for Disease Control test results showed that the cultures of H7N9 avian influenza virus nucleic acid positive, as required immediately to the Health Department of Hunan Province, China Center for Disease Control report, while communications Disease Control and Prevention in Shanghai center.

　　April 8, Hunan Provincial Center for Disease Control accordance with the provisions of the culture material sent to the China Disease Prevention and Control Center.

　　April 11 received the China CDC feedback results A/H7/N9 positive.

　　Chen Yan said, after investigation, the children in Changsha City in close contact with a total of 6 (5 Changsha Central Hospital, one of the doctors, a clinic doctors) were not found to have a fever or respiratory symptoms, more than the disease Medical observation period. According to the feedback of the Shanghai Municipal Center for Disease Control, children and parents and other close contacts were not found to have a fever or respiratory symptoms.

　　When the media asked why was released today, Chen Yan said that this is in accordance with the requirements of the national guard Planning Commission unified release.

　　It is reported that, as of now, Hunan has not yet received human infection with the H7N9 avian influenza report. (End)

http://big5.xinhuanet.com/gate/big5/news.xinhuanet.com/health/2013-04/17/c_124592845.htm

[sharon sanders]

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 17 2013):1 case / 0 deaths (Total 79 / 16)

I believe this is the case listed in the Shanghai report yesterday.

Our case count stays the same in this regard.

[Shiloh]

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 17 2013):1 case / 0 deaths (Total 79 / 16)

Source: http://www.zjwst.gov.cn/art/2013/4/1...62_227954.html

Additional four cases of human infection with the H7N9 avian flu cases in Zhejiang province
Date :2013 -04-17 Source: Health Views: 8 Font Size: [medium and small]

Zhejiang Provincial Health Department

April 17, 2013

Zhejiang Provincial Health Department Bulletin, April 17, Zhejiang new four cases of human infection with the H7N9 avian flu cases as of April 17 at 16:00.

Patients Liaomou, female, 37 years old, farmer, now living in Hangzhou, onset on April 11, Hangzhou, a hospital for treatment.

Patients with cattle, male, 74 years old, retired, who lives in Hangzhou, onset on April 8, a hospital for treatment.

Patients Zhao, male, 86 years old, retired, who lives in Hangzhou, the onset on April 13, Hangzhou, a hospital for treatment.

Patients Zhang, male, 41 years old, cadres, who lives in Huzhou, onset on April 14, now a hospital for treatment.

Detected by the provincial Center for Disease Control, more than 4 patients specimens are infected with the H7N9 avian influenza virus nucleic acid positive. I Office Organization expert on the clinical manifestations, epidemiological data and laboratory test results to discuss the diagnosis of human infection confirmed cases of the H7N9 avian flu. Currently, Zhang mild, Liao, a cow, Zhao 3 per capita ill in hospital under active treatment.

[Giuseppe]

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 17 2013): 5 cases / 0 deaths (Total 83 / 16)

[Source: Centre for Health Protection, Hong Kong PRC SAR, full text: (LINK).]

Eleven more human cases of avian influenza A(H7N9) verified by NHFPC


The Centre for Health Protection (CHP) of the Department of Health (DH) verified with the National Health and Family Planning Commission (NHFPC) today (April 17) seven human cases of avian influenza A(H7N9) in Shanghai and four in Zhejiang.

The seven cases in Shanghai involve an 89-year-old man, a 47-year-old man and five lookback cases. The 89-year-old man is receiving treatment in hospital. His nine close contacts are asymptomatic so far.

The 47-year-old man is currently receiving treatment in hospital.

As regards the five lookback cases, specimens of five patients were sent for laboratory testing in March and subsequently yielded positive for avian influenza A(H7N9) virus in the lookback diagnosis. Among these five lookback cases, three patients were recovered and two died.

The 64 close contacts of these five patients and the 47-year-old man are asymptomatic so far.

The four cases in Zhejiang involve a woman aged 37 and three men aged 41, 74 and 86 respectively. They are receiving treatment in hospital.

As of 9pm today, a total of 82 cases have been laboratory confirmed with avian influenza A(H7N9) in Shanghai (31 cases), Jiangsu (20 cases), Zhejiang (25 cases), Anhui (three cases), Henan (two cases) and Beijing (one case).

A spokesman for the DH stressed that the CHP is closely monitoring the situation and will continue to maintain close liaison with the Mainland health authorities for more case information as well as to keep a close eye on the latest advice from the World Health Organization.

The spokesman also reminded travellers, especially those returning from Shanghai, Jiangsu, Zhejiang, Anhui, Henan and Beijing, with fever or respiratory symptoms to wear facial masks immediately, seek medical attention, and reveal their travel history to doctors. Healthcare professionals should also pay special attention to those who might have had contact with birds, poultry or their droppings in the affected areas.

"No human case of avian influenza A(H7N9) has been identified so far in Hong Kong," the spokesman reiterated.

"We would like to reassure the public that the Government will be as transparent as possible in the dissemination of information on human cases of avian influenza A(H7N9).

Whenever there is a suspected case, the CHP will release information to the public as soon as possible," the spokesman added.

"According to the latest risk assessment by the NHFPC, the human infection of the avian influenza A(H7N9) virus is of avian origin and people are mainly infected through exposure to infected poultry or its contaminated environment. Contact with infected poultry or visiting wet markets with live poultry are hence important risk factors of human infection of the avian influenza A(H7N9) virus," the spokesman said.

He urged travellers not to visit wet markets with live poultry in the affected areas and avoid direct contact with poultry, birds or their droppings. If contacts have been made, they should thoroughly wash hands with soap and water.

Members of the public should remain vigilant and are reminded to take heed of the following preventive advice against avian influenza:

• Poultry and eggs should be thoroughly cooked before eating;
• Wash hands frequently with soap, especially before touching the mouth, nose or eyes, handling food or eating, after going to toilet, touching public installations or equipment such as escalator handrails, elevator control panels or door knobs, or when hands are dirtied by respiratory secretions after coughing or sneezing;
• Cover the nose and mouth while sneezing or coughing, hold the spit with tissue and put it into covered dustbins;
• Avoid crowded places and contact with fever patients; and
• Wear a mask when respiratory symptoms develop or you need to take care of fever patients.

The public may visit the Avian Influenza page of the CHP (www.chp.gov.hk/en/view_content/24244.html) for further information.

Ends/Wednesday, April 17, 2013
Issued at HKT 22:30
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[Giuseppe]

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 17 2013): 5 cases / 0 deaths (Total 83 / 16)

[Source: Centre for Health Protection, Hong Kong PRC SAR, full text: (LINK).]

Update on number of suspected human cases of avian influenza A(H7) notified


The Centre for Health Protection (CHP) of the Department of Health (DH) today (April 17) provided an update on the latest number of suspected human cases of avian influenza A(H7) notified to the CHP, including suspected human cases of avian influenza A(H7) fulfilling reporting criteria, and remaining ones not fulfilling reporting criteria.

From noon yesterday (April 16) to noon today, the CHP received no notifications of cases which fulfilled reporting criteria, and two cases which did not fulfil reporting criteria. Cases are detailed in the Attachment.

This brings the total number of notifications received by the CHP since March 31 of cases fulfilling reporting criteria of suspected human cases of avian influenza A(H7) to 11, and the total number of notifications not fulfilling reporting criteria to 33.

"According to the latest risk assessment by the National Health and Family Planning Commission, the human infection of the avian influenza A(H7N9) virus is of avian origin and people are mainly infected through exposure to infected poultry or its contaminated environment. Contact with infected poultry or visiting wet markets with live poultry are hence important risk factors of human infection of the avian influenza A(H7N9) virus," a spokesman for the DH said.

He urged travellers not to visit wet markets with live poultry in the affected areas, and to avoid direct contact with poultry, birds or their droppings. If contact has been made, they should thoroughly wash hands with soap and water.

"Influenza A(H7) is a statutorily notifiable infectious disease in Hong Kong. Locally, no confirmed human cases of avian influenza A(H7N9) have been recorded so far," the spokesman stressed.

He reminded doctors to report to the CHP any suspected case of influenza A(H7). The Public Health Laboratory Services Branch of the CHP is ready to receive and test specimens whenever necessary.

The public may visit the avian influenza page of the CHP (www.chp.gov.hk/en/view_content/24244.html) for further information.

Ends/Wednesday, April 17, 2013
Issued at HKT 18:41
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[sharon sanders]

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 17 2013): 5 cases / 0 deaths (Total 83 / 16)

hat tip Diane Morin

from twitter:

WHO @WHO 33m
To date, WHO has been notified of 82 #H7N9 laboratory-confirmed cases, including 17 fatalities. #influenza #flu


There are no details of this 17th death. I checked the Jiangsu, Zhejiang and Shanghai government sites and there is nothing about an additional death.

We will leave our list at 16 deaths until we get more details.

[Giuseppe]

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 17 2013): 5 cases / 0 deaths (Total 83 / 16)

The 4 year old boy was discarded because he did not meet case definition criteria.

@ironorehopper --> @WHO

''It remains out of the count the 4 year old boy 'asymptomatic' from Beijing.''

@WHO --> @ironorehopper

''Boy was not sick. He doesn't fit #H7N9 case definition hence not officially notified. Important though from epi point of view''

@HaertlG --> @ironorehopper @WHO

''Beijing 4 year-old boy tested #H7N9 positive by PCR. That means he is potentially infectious at that moment.''

[sharon sanders]

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 17 2013): 5 cases / 0 deaths (Total 83 / 16)

Thanks! We are still leaving the boy, 4, on our list because being asymptomatic AND testing positive is significant for our purposes.

Above I was referring to the count of deaths. We have 16 and the WHO has 17.

[tetano]

11 Mainland H7N9 cases reported

The Centre for Health Protection verified with the National Health & Family Planning Commission today seven human cases of avian influenza A (H7N9) in Shanghai and four in Zhejiang.

The seven cases in Shanghai involve an 89-year-old man, a 47-year-old man and five lookback cases. The 89-year-old man is receiving treatment in hospital. His nine close contacts are asymptomatic so far. The 47-year-old man is now being treated in hospital.

For the five lookback cases, specimens of five patients were sent for laboratory testing in March and subsequently tested positive for avian influenza A (H7N9). Among them, three recovered and two died. The 64 close contacts of these five patients and the 47-year-old man are asymptomatic.

The four cases in Zhejiang involve a woman aged 37 and three men aged 41, 74 and 86. They are receiving treatment in hospital.

As of 9pm today, 82 cases have been laboratory confirmed with avian influenza A (H7N9) in Shanghai (31 cases), Jiangsu (20 cases), Zhejiang (25 cases), Anhui (three cases), Henan (two cases) and Beijing (one case).

No human case of avian influenza A (H7N9) has been identified so far in Hong Kong.

Travellers, especially those returning from Shanghai, Jiangsu, Zhejiang, Anhui, Henan and Beijing, with fever or respiratory symptoms should wear facial masks immediately, seek medical attention, and reveal their travel history to doctors.

According to the latest risk assessment by the commission, human infection of the avian influenza A (H7N9) virus is of avian origin and people are mainly infected through exposure to infected poultry or contaminated environment. Contact with infected poultry or visiting wet markets with live poultry are important risk factors of human infection of the avian influenza A (H7N9) virus.

http://www.news.gov.hk/en/categories/health/html/2013/04/20130417_193749.shtml

[Ronan Kelly]

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 17 2013): 5 cases / 0 deaths (Total 83 / 16)

Chinese CDC report - machine translated;

April 17 Japanese infected with the H7N9 avian flu


Time :2013-04-17 font:

　 April 16, 2013 20 to April 17, 17, report new confirmed cases of human infection with the H7N9 avian influenza five cases, including Shanghai, Zhejiang.
　　Up to now, the country reported a total of 82 cases of human infection of H7N9 avian influenza confirmed cases, five of whom have been cured, the death of 17 people, and the remaining 60 are each designated medical unit for treatment. Distribution of cases (1 case) in Beijing, Shanghai (31 cases and 11 deaths), Jiangsu (20 patients, 3 patients died), Zhejiang (25 cases and 2 deaths), Anhui (3 cases, 1 death), Henan (2) 6 of 30 provinces and cities in the municipal area. Cases in the dissemination of state, have not yet found evidence of human-to-human transmission.

http://www.chinacdc.cn/jkzt/crb/rgrgzbxqlg_5295/rgrqlgyp/201304/t20130417_80052.htm

[Ronan Kelly]

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 17 2013): 5 cases / 0 deaths (Total 83 / 16)

The "extra" death is being reported from Jiangsu.

[Biological]

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 17 2013): 5 cases / 0 deaths (Total 83 / 16)

Fatal #17 is from Jiangsu (20 patients, 3 patients died)

Emergency Management Office The People's Government of Guangdong Province (H7N9 website) The country reports of human infection of H7N9 avian flu List (up to 2013 April 16, 2011 8:00 pm (n=77) source-National Health and Family Planning Commission website
The country reports of human infection of H7N9 avian flu information
(up to 2013 April 16, 2011 8:00 pm)

2013-04-16 20:25:00 National Health and Family Planning Commission website

　　April 15, 2013 6:00-4 pm May 16, at 8:00 pm, the national report new confirmed cases of the H7N9 avian influenza infection in 14 cases, including Shanghai, Zhejiang, Jiangsu three cases.
　　Up to now, the country reported a total of 77 cases of confirmed cases of human infection with the H7N9 avian flu, which killed 16 people. Distribution of cases (1 case) in Beijing, Shanghai (30 cases and 11 deaths), Jiangsu (20 cases, two cases of death), Zhejiang (21 cases, to death two cases), Anhui (3 cases, 1 death), Henan (two cases) of six provinces and cities. The cases in the dissemination of state, has not yet found evidence of human-to-human transmission.

http://www.gdemo.gov.cn/zt/H7N9/tongbao/201304/t20130417_178038.htm

National reports of human infection with H7N9 avian flu
(As of April 17, 2013 5:00 pm)

2013-04-17 17:30:00 National Health and Family Planning Commission website

April 16, 2013 8:00-4 pm May 17, at 5:00 pm, the national report new confirmed cases of human infection with the H7N9 avian influenza five cases, including Shanghai, Zhejiang.

　　Up to now, the country reported a total of 82 cases of human infection of H7N9 avian influenza confirmed cases, five of whom have been cured, the death of 17 people, and the remaining 60 are each designated medical unit for treatment. Distribution of cases (1 case) in Beijing, Shanghai (31 cases and 11 deaths), Jiangsu (20 patients, 3 patients died), Zhejiang (25 cases, to death two cases), Anhui (3 cases, 1 death), Henan (two cases) of the 30 provinces and cities in the municipal area. Cases in the dissemination of state, have not yet found evidence of human-to-human transmission.

http://www.gdemo.gov.cn/zt/H7N9/tongbao/201304/t20130417_178055.htm

National Health and Family Planning Commission website -- unable to find daily update however been using

Emergency Management Office The People's Government of Guangdong Province (H7N9 website)

http://www.gdemo.gov.cn/zt/H7N9/

[sharon sanders]

Re: H7N9, China: Cumulative number of today confirmed and suspected cases (April 17 2013): 5 cases / 1 death (Total 83 / 17?)

There is still no announcement about this death at the Jiangsu provincial health department and they did make an announcement today about the contacts of some of the confirmed cases.

We will make the deaths 16/17?

This could be a typo or a real case. We just don't know.